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Urinary retention during sacral nerve stimulation for faecal incontinence: report of a case

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Abstract

Sacral nerve stimulation (SNS) was proposed for the treatment of patients with urologic symptoms in 1967 but was not used until 1981. SNS has also proven to be a promising treatment in idiopathic faecal incontinence when conventional treatments have failed. The modality has been used for faecal incontinence since the mid-1990s. Eighty percent of the patients who were selected for percutaneous nerve evaluation (PNE) because of faecal incontinence report an improvement in the symptoms and qualify for a permanent implantation. Accordingly, SNS is now used for faecal incontinence and urologic symptoms. Reflex interactions between the bladder and the distal gastrointestinal tract are well known. The present case shows that SNS for faecal incontinence may significantly influence bladder function.

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References

  1. Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97

    Article  PubMed  CAS  Google Scholar 

  2. Thon WF, Baskin LS, Jonas U, Tanago EA, Schmidt RA (1991) Neuromodulation of voiding dysfunction and pelvic pain. World J Urol 9:138–141

    Google Scholar 

  3. Vaizey CJ, Kamm MA, Turner IC, Nicholls RJ, Woloszko J (1999) Effects of short term sacral nerve stimulation on anal and rectal function in patients with anal incontinence. Gut 44:407–412

    Article  PubMed  CAS  Google Scholar 

  4. Rasmussen O∅, Christiansen J (2002) Sacral nerve stimulation in fecal incontinence. Ugeskr Laeger 164:3866–3868

    PubMed  Google Scholar 

  5. Buntzen S, Rasmussen O∅, Ryhammer AM, Sørensen M, Laurberg S, Christiansen J (2004) Sacral nerve stimulation of fecal incontinence in a patient with muscular dystrophy: report of a case. Dis Colon Rectum 47:1409–1411

    Article  PubMed  Google Scholar 

  6. Kenefick NJ, Christiansen J (2004) A review of sacral nerve stimulation for the treatment of faecal incontinence. Colorectal Dis 6:75–80

    Article  PubMed  CAS  Google Scholar 

  7. Rasmussen OO, Buntzen S, Sorensen M, Laurberg S, Christiansen J (2004) Sacral nerve stimulation in faecal incontinence. Dis Colon Rectum 47:1158–1162

    Article  PubMed  Google Scholar 

  8. Weil EHJ, Ruiz-Cerdá JL, Eerdmans PHA, Janknegt RA, Van Kerrebroeck PEVA (1998) Clinical results of sacral neuromodulation for chronic voiding dysfunction using unilateral sacral foramen electrodes. World J Urol 16:313–321

    Article  PubMed  CAS  Google Scholar 

  9. Buntzen S, Nordgren S, Delbro D, Hultén L (1995) Reflex interaction from the urinary bladder and the rectum on anal motility in the cat. J Auton Nerv Syst 54:33–40

    Article  PubMed  CAS  Google Scholar 

  10. Hellström PM, Sjöqvist A (1988) Involvement of opiod and nicotinic receptors in rectal and anal reflex inhibition of urinary bladder motility in cats. Acta Physiol Scand 133:559–562

    Article  PubMed  Google Scholar 

  11. Garrett JR, Howard ER, Jones W (1974) The internal anal sphincter in the cat: a study of nervous mechanism affecting tone and reflex activity. J Physiol 243:153–166

    PubMed  CAS  Google Scholar 

  12. Bouvier M, Grimaud JC (1984) Neuronally mediated interactions between urinary bladder and internal anal sphincter motility in the cat. J Physiol 346:461–469

    PubMed  CAS  Google Scholar 

  13. Godec C, Cass AS, Ayala GF (1975) Bladder inhibition with functional electrical stimulation. Urology 6(6):663–666

    Article  PubMed  CAS  Google Scholar 

  14. DeGroat WC, Nadelhaft I, Milne RJ, Booth AM, Morgan C, Thor K (1981) Organization of the sacral parasympathetic reflex pathways to the urinary bladder and large intestine. J Auton Nerv Syst 3:135–160

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Søren Laurberg.

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Michelsen, H.B., Buntzen, S., Krogh, K. et al. Urinary retention during sacral nerve stimulation for faecal incontinence: report of a case. Int J Colorectal Dis 21, 721–723 (2006). https://doi.org/10.1007/s00384-005-0075-4

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  • DOI: https://doi.org/10.1007/s00384-005-0075-4

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